Provider Demographics
NPI:1508630526
Name:MCKEE, KRISTIN (BSN, RN, IBCLC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:MCKEE
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 MILLETTE
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:OH
Mailing Address - Zip Code:45302-8606
Mailing Address - Country:US
Mailing Address - Phone:937-726-9386
Mailing Address - Fax:
Practice Address - Street 1:401 MILLETTE
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:OH
Practice Address - Zip Code:45302-8606
Practice Address - Country:US
Practice Address - Phone:937-726-9386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.477544163WP1700X
OHL-319247163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WP1700XNursing Service ProvidersRegistered NursePerinatal